Carlisha Joseph
Patient Access Specialist @Cencora Pharma Solutions
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WORK HISTORY
Patient Access Specialist @Cencora Pharma Solutions
Responsible for handling all access activities, exceeding daily goal and adherence to 95%• Determination for support (Copay, Patient Assistance Program, Medicaid, etc.).• Pharmacy triage and coordination.• Order processing for wholesale orders.• Researches and resolves any claim denials or underpayment of claims.• Effectively utilizes various means for collecting information using program approved methods, which could include phone, fax, mail, and online methods.• Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.• Reports any trends or delays to program management (e.g. billing denials, claim denials, pricing errors, payments, etc.).• Ensures all program correspondence and communication (phone, fax, mail, etc.) meets quality standards.• Works with patient, provider or internal shared services to ensure all necessary documentation is received and complete in accordance with program policy.• Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action.• Self-motivated, working from a queue (phone or system). Perform work in accordance with defined standard operating procedures.• Performs related duties as assigned.
EDUCATION
Champions School of Real Estate
Licentiate degree, Real Estate
DeVry University
Bachelor's degree, Health/Health Care Administration/Management
SKILLS
ABOUT CARLISHA JOSEPH
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